4234 FIRST AID KIT- 4234 first aid
Honeywell Safety Products USA, Inc.

Disclaimer: This drug has not been found by FDA to be safe and effective, and this labeling has not been approved by FDA. For further information about unapproved drugs, click here.

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0498-4234: First Aid Kit (Triple, Ammonia Inh, Burn Jel, Hydrogen Peroxide Sp, BZK wipe- 68180SIGMA)

Active ingredient

Ammonia 15%

Purpose

Respiratory stimulant

Uses

to prevent or treat fainting

Warnings

For external use only

Do not use

if you have asthma or emphysema

Stop use and ask a doctor if

condition persists

Keep out of reach of children

If swallowed get medical help or contact a Poison Control Center right away.

Directions

hold inhalant away from face and crush ampoule between thumb and forefinger at position indicated on sleeve.
hold near nostrils for inhalation of volatile vapor

Other information

store at room temperature away from light

Inactive ingredients

alcohol USP, FD&C red #40, lavender oil, lemon oil fcc, nutmeg oil, purified water

Questions or Comments

1-800-430-5490

Burn Jel
Active ingredient

Lidocaine HCl 2.0%

Burn Jel
Purpose

External analgesic

Burn Jel
Uses

temporarily relieves pain due to minor burns

Burn Jel
Warnings

For external use only

Do not use

on large areas of the body, particularly over raw surfaces or blistered areas

When using this product

avoid contact with eyes

Stop use and ask a doctor if

the condition gets worse
symptoms persist for more than 7 days
condition clears up and recurs within a few days

Keep out of reach of children

If swallowed, get medical help or contact a Poison Control Center right away.

Burn JEl
Directions

adults and children 2 years of age and older; apply to affected area not more than 3 to 4 times daily
children under 2 years of age: ask a doctor
you may report a serious reaction to this product to 800-430-5490

Burn Jel
Other information

store at room temperature - do not use if opened or torn

Burn Jel
Inactive ingredients

carbopol 940, carbopol 1342, diazolidinyl urea, glycerin, melaleuca alternifolia (tea tree) leaf oil, methylparaben, octoxynol-9, propylene glycol, propylparaben, trolamine, water

Burn Jel
Questions

1-800-430-5490

Triple
Active ingredient

Bacitracin zinc 400 units

Neomycin sulfate (5 mg equivalent to 3.5 mg Neomycin base)

Polymyxin B sulfate 5000 units

Triple
Purpose

First aid antibiotic

Triple
Uses

first aid to help prevent infection in:

minor cuts
scrapes
burns

Triple
Warnings

For external use only

Allergy alert: do not use if you are allergic to any of the ingredients

Do not use

in the eyes
over large areas of the body
Ask a doctor before use if you have
a deep or puncture wounds
animal bites
serious burns

Stop use and ask a doctor if

the condition persists or gets worse
a rash or other allergic reaction develops
you need to use longer than 1 week

Keep out of the reach of children

If swallowed, get medical help or contact a Poison Control Center right away.

Triple
Directions

clean the affected area
apply a small amount of the product (an amount equal to the surface area of the tip of a finger) on the area 1 to 3 times daily
may be covered with a sterile bandage

Triple
Other information

store at 15 0 to 25 0 C (59 0 to 77 0 F)
tamper evident sealed packets
do not use if packet is torn or opened

Triple
Inactive ingredient

petrolatum

Triple
Questions?

1-800-430-5490

BZK Wipe
Active ingredient

Benzalkonium chloride 0.13% w/v

BZK Wipe
Purpose

First aid antiseptic

BzK Wipe
Uses

Antiseptic cleansing of face, hands, and body without soap and water

BZK Wipe
Warnings

For external use only

Do not use

in the eyes or over large areas of the body
on mucous membranes
on irritated skin
in case of deep puncture wounds, animal bites or serious burns, consult a doctor
longer than 1 week unless directed by a doctor

Stop use and ask a doctor if

if irritation, redness or other symptoms develop
the condition persists or gets worse

Keep out of reach of children

If swallowed, get medical help or contact a Poison Control Center right away.

BZK Wipe
Directions

tear open packet and use as a washcloth

BZK Wipe
Other information

store at room temperature 15 0 to 30 0 C (59 0 - 86 0 F)
do not reuse towelette

BZK Wipe
Other information

water

BZK Wipe
Questions

1-800-430-5490

Hydrogen Peroxide
Active ingredient

Hydrogen peroxide 3%

Hydrogen Peroxide
Purpose

First aid antiseptic

Hydrogen peroxide
Uses

first aid to help prevent infection in minor cuts, scrapes and burns

Hydrogen peroxide
Warnings

For external use only

Do not use

in the eyes or apply over large areas of the body
longer than 1 week unless directed by a doctor

Ask a doctor before use if you have

deep or puncture wounds
animal bites
or serious burns

Stop use and ask a doctor if

the condition persists or gets worse

Keep out of reach of children

If swallowed, get medical help or contact a Poison Control Center right away.

Hydrogen peroxide
Directions

clean the affected area
spray a small amount of this product on the area 1 to 3 times daily
may be covered with a sterile bandage
if bandaged, let dry first

Hydrogen peroxide
Other information

store at room temperature

Hydrogen peroxide
Inactive ingredient

purified water

Hydrogen peroxide
Questions or Comments?

1-800-430-5490

4234
68180SIGMA Kit Contents

1 WOVEN 7/8 X 3 50/BOX

1 FNGERTP LRG WOVEN 25/BOX

1 FNGERTP WOVEN REG 40/BOX

1 WOVEN 2" X 3" 25/BOX

1 SWIFT KNUCKLE 40/BX

1 AMMONIA INHALANTS 10 PER

1 EYE DRESS PKT W/4 ADH STRIPS

1 BURN JEL 1/8 OZ, 6 PER

1 NITRILE GLOVES 2PR BBP

1 ADHESIVE TAPE W/P 1/2"X 5 YD

1 HYDROGEN PEROXIDE SPRAY PUMP

1 GAUZE BANDAGE 4"X2 YDS STRETCH GZ

1 FIRST AID GUIDE ASHI

2 BLOODSTOPPER

1 NON ADHERENT PADS 2"X3" 50'S

1 COTTON BALLS STERILE 130

1 ANTISEPTIC WIPES BZK CHL 20'S

1 TRIPLE BIOTIC .5 GRAM PKT 20

2 COLD PACK 5"X9" BOXED

1 SCISSOR BDGE 4" RED PLS HDL

1 KIT TWEEZER 3 1/2" SLANTED

1 180 EMPTY BLANK NO LOGO

1 BANDAGE COMP 3" W/TELFA PAD 2

LBL STOCK 6-3/8"X4"

1 LBL STOCK 4"X2-7/8"

1 LBL STOCK 3"x1-7/8"

1 TRI BNDG NON WOVEN 40"X40"X56"

Principal Display Panel

Inhalant

Burn Jel
Principal Display Panel

Burn Jel

Triple
Principal Display Panel

Triple Antibiotic

BZK Wipe
Principal Display Panel

Antiseptic Wipe

Hydrogen peroxide
Principal Display Panel

Hydrogen Peroxide

4234 Kit Label
68180SIGMA

4234 label

4234 FIRST AID KIT
4234 first aid kit

Product Information
Product Type	HUMAN OTC DRUG	Item Code (Source)	NDC:0498-4234

#	Item Code	Package Description	Marketing Start Date	Marketing End Date
Packaging
1	NDC:0498-4234-01	1 in 1 KIT	09/13/2018

Part #	Package Quantity	Total Product Quantity
Quantity of Parts
Part 1	1 BOTTLE, SPRAY	59 mL
Part 2	10 AMPULE	3 mL
Part 3	6 PACKET	21 g
Part 4	20 PACKET	10 g
Part 5	20 PACKET	28 mL

Part 1 of 5

WATER JEL HYDROGEN PEROXIDE
hydrogen peroxide spray

Product Information
Item Code (Source)	NDC:59898-403
Route of Administration	TOPICAL

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
HYDROGEN PEROXIDE (UNII: BBX060AN9V) (HYDROGEN PEROXIDE - UNII:BBX060AN9V)	HYDROGEN PEROXIDE	3 mL in 100 mL

Ingredient Name	Strength
Inactive Ingredients
WATER (UNII: 059QF0KO0R)

#	Item Code	Package Description	Marketing Start Date	Marketing End Date
Packaging
1	NDC:59898-403-10	59 mL in 1 BOTTLE, SPRAY; Type 0: Not a Combination Product

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC monograph not final	part333A	05/01/2013

Part 2 of 5

AMMONIA INHALENT
ammonia inhalent inhalant

Product Information
Item Code (Source)	NDC:0498-3334
Route of Administration	RESPIRATORY (INHALATION)

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
AMMONIA (UNII: 5138Q19F1X) (AMMONIA - UNII:5138Q19F1X)	AMMONIA	0.045 g in 0.3 mL

Ingredient Name	Strength
Inactive Ingredients
ALCOHOL (UNII: 3K9958V90M)

#	Item Code	Package Description	Marketing Start Date	Marketing End Date
Packaging
1	NDC:0498-3334-00	0.3 mL in 1 AMPULE; Type 0: Not a Combination Product

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
unapproved drug other		09/18/2018

Part 3 of 5

BURN JEL
gel for burns gel

Product Information
Item Code (Source)	NDC:0498-0203
Route of Administration	TOPICAL

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
LIDOCAINE HYDROCHLORIDE (UNII: V13007Z41A) (LIDOCAINE - UNII:98PI200987)	LIDOCAINE HYDROCHLORIDE ANHYDROUS	2 g in 100 g

Ingredient Name	Strength
Inactive Ingredients
TEA TREE OIL (UNII: VIF565UC2G)
DIAZOLIDINYL UREA (UNII: H5RIZ3MPW4)
METHYLPARABEN (UNII: A2I8C7HI9T)
EDETATE DISODIUM (UNII: 7FLD91C86K)
GLYCERIN (UNII: PDC6A3C0OX)
TROLAMINE (UNII: 9O3K93S3TK)
CARBOMER HOMOPOLYMER TYPE C (ALLYL PENTAERYTHRITOL CROSSLINKED) (UNII: 4Q93RCW27E)
CARBOMER HOMOPOLYMER TYPE B (ALLYL PENTAERYTHRITOL CROSSLINKED) (UNII: HHT01ZNK31)
PROPYLPARABEN (UNII: Z8IX2SC1OH)
OCTOXYNOL-9 (UNII: 7JPC6Y25QS)
DIPROPYLENE GLYCOL (UNII: E107L85C40)

#	Item Code	Package Description	Marketing Start Date	Marketing End Date
Packaging
1	NDC:0498-0203-00	3.5 g in 1 PACKET; Type 0: Not a Combination Product

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC monograph not final	part348	09/19/2018

Part 4 of 5

TRIPLE ANTIBIOTIC
bacitracin zinc, polymyxin b sulfate, neomycin sulfate ointment

Product Information
Item Code (Source)	NDC:0498-0750
Route of Administration	TOPICAL

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
POLYMYXIN B SULFATE (UNII: 19371312D4) (POLYMYXIN B - UNII:J2VZ07J96K)	POLYMYXIN B	5000 [iU] in 1 g
BACITRACIN ZINC (UNII: 89Y4M234ES) (BACITRACIN - UNII:58H6RWO52I)	BACITRACIN	400 [iU] in 1 g
NEOMYCIN SULFATE (UNII: 057Y626693) (NEOMYCIN - UNII:I16QD7X297)	NEOMYCIN	3.5 mg in 1 g

Ingredient Name	Strength
Inactive Ingredients
PETROLATUM (UNII: 4T6H12BN9U)

Product Characteristics
Color	white	Score
Shape		Size
Flavor		Imprint Code
Contains

#	Item Code	Package Description	Marketing Start Date	Marketing End Date
Packaging
1	NDC:0498-0750-36	0.5 g in 1 PACKET; Type 0: Not a Combination Product

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC monograph final	part333B	09/19/2018

Part 5 of 5

ANTISEPTIC TOWELETTE
benzalkonium chloride liquid

Product Information
Item Code (Source)	NDC:0498-0501
Route of Administration	TOPICAL

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
BENZALKONIUM CHLORIDE (UNII: F5UM2KM3W7) (BENZALKONIUM - UNII:7N6JUD5X6Y)	BENZALKONIUM CHLORIDE	1.3 mg in 1 mL

Ingredient Name	Strength
Inactive Ingredients
WATER (UNII: 059QF0KO0R)

#	Item Code	Package Description	Marketing Start Date	Marketing End Date
Packaging
1	NDC:0498-0501-00	1.4 mL in 1 PACKET; Type 0: Not a Combination Product

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC monograph not final	part333E	12/22/2017

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
unapproved drug other		09/13/2018	08/17/2020

Labeler - Honeywell Safety Products USA, Inc. (118768815)

Revised: 12/2022

Document Id: f10105a3-ea4a-cf05-e053-2995a90a4d54

Set id: 85139632-d31a-736f-e053-2991aa0a6fcf

Version: 4

Effective Time: 20221229

Honeywell Safety Products USA, Inc.

0498-4234: First Aid Kit (Triple, Ammonia Inh, Burn Jel, Hydrogen Peroxide Sp, BZK wipe- 68180SIGMA)

Active ingredient

Purpose

Uses

Warnings

Do not use

Stop use and ask a doctor if

Keep out of reach of children

Directions

Other information

Inactive ingredients

Questions or Comments

Burn Jel Active ingredient

Burn Jel Purpose

Burn Jel Uses

Burn Jel Warnings

Do not use

When using this product

Stop use and ask a doctor if

Keep out of reach of children

Burn JEl Directions

Burn Jel Other information

Burn Jel Inactive ingredients

Burn Jel Questions

Triple Active ingredient

Triple Purpose

Triple Uses

Triple Warnings

Do not use

Stop use and ask a doctor if

Keep out of the reach of children

Triple Directions

Triple Other information

Triple Inactive ingredient

Triple Questions?

BZK Wipe Active ingredient

BZK Wipe Purpose

BzK Wipe Uses

BZK Wipe Warnings

Do not use

Stop use and ask a doctor if

Keep out of reach of children

BZK Wipe Directions

BZK Wipe Other information

BZK Wipe Other information

BZK Wipe Questions

Hydrogen Peroxide Active ingredient

Hydrogen Peroxide Purpose

Hydrogen peroxide Uses

Hydrogen peroxide Warnings

Do not use

Ask a doctor before use if you have

Stop use and ask a doctor if

Keep out of reach of children

Hydrogen peroxide Directions

Hydrogen peroxide Other information

Hydrogen peroxide Inactive ingredient

Hydrogen peroxide Questions or Comments?

4234 68180SIGMA Kit Contents

Principal Display Panel

Burn Jel Principal Display Panel

Triple Principal Display Panel

BZK Wipe Principal Display Panel

Hydrogen peroxide Principal Display Panel

4234 Kit Label 68180SIGMA

Burn Jel
Active ingredient

Burn Jel
Purpose

Burn Jel
Uses

Burn Jel
Warnings

Burn JEl
Directions

Burn Jel
Other information

Burn Jel
Inactive ingredients

Burn Jel
Questions

Triple
Active ingredient

Triple
Purpose

Triple
Uses

Triple
Warnings

Triple
Directions

Triple
Other information

Triple
Inactive ingredient

Triple
Questions?

BZK Wipe
Active ingredient

BZK Wipe
Purpose

BzK Wipe
Uses

BZK Wipe
Warnings

BZK Wipe
Directions

BZK Wipe
Other information

BZK Wipe
Other information

BZK Wipe
Questions

Hydrogen Peroxide
Active ingredient

Hydrogen Peroxide
Purpose

Hydrogen peroxide
Uses

Hydrogen peroxide
Warnings

Hydrogen peroxide
Directions

Hydrogen peroxide
Other information

Hydrogen peroxide
Inactive ingredient

Hydrogen peroxide
Questions or Comments?

4234
68180SIGMA Kit Contents

Burn Jel
Principal Display Panel

Triple
Principal Display Panel

BZK Wipe
Principal Display Panel

Hydrogen peroxide
Principal Display Panel

4234 Kit Label
68180SIGMA